Department of Ophthalmology, Altino Ventura Foundation, Recife, Pernambuco, Brazil.
Department of Ophthalmology at Villa Saúde Health Center, Serra Talhada, Pernambuco, Brazil.
Indian J Ophthalmol. 2023 Feb;71(2):663-666. doi: 10.4103/ijo.IJO_1246_22.
We describe a 68-year-old female patient with unilateral central retinal artery occlusion (CRAO) with cilioretinal artery sparing post-coronavirus disease 2019 (COVID-19) infection. The patient presented with acute vision loss in the left eye 11 days after discharge from a severe COVID-19 infection, with altered D-dimer, C-reactive protein, and fibrinogen levels. The best-corrected visual acuity (BCVA) in the left eye was 20/400; fundoscopic examination revealed diffuse pallor retina with a patent arterial branch from the optic disk to the fovea, confirmed by fluorescein angiography. CRAO with a cilioretinal artery sparing post-COVID-19 may be considered an additional ocular manifestation of the post-acute COVID-19 syndrome spectrum.
我们描述了一位 68 岁女性单侧视网膜中央动脉阻塞(CRAO)合并睫状视网膜动脉保留的病例,该患者在感染 2019 冠状病毒病(COVID-19)后出现单侧视网膜中央动脉阻塞(CRAO)。患者在严重 COVID-19 感染出院后 11 天出现左眼急性视力丧失,D-二聚体、C 反应蛋白和纤维蛋白原水平改变。左眼最佳矫正视力(BCVA)为 20/400;眼底检查显示弥漫性视网膜苍白,视盘至黄斑有动脉分支通过,荧光素血管造影证实。COVID-19 后出现 CRAO 伴睫状视网膜动脉保留,可能被认为是 COVID-19 后急性综合征谱的另一种眼部表现。